Shane Futchko, PA-C

NPI 1639357676 · on the registry since 2008 · sole proprietor

Practice

Address: 3930 4th Ave
Ste 200
San Diego, CA 92103
Phone: (352) 219-3271
Organisation at this address: Frn San Diego Llc
Nichole Amaro, Lcsw
Healthy Me Nursing, Inc
Sober Life Recovery Solutions Llc
U.S. Healthworks Medical Group, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California